This form is required for all Troop 52 trips.
No boy may go on a trip without providing this form prior to travel. The
Assistant Scoutmasters and I will do everything in our power to protect your
son. Two adults will be present at all activities. At least one trained adult
will be present on all trips

Sincerely,

Bob Glavik

Scoutmaster, Troop 52

I hereby give permission for my son to be
transported, including travel outside the State of Connecticut, by the
Scoutmaster, or his designee, from Danbury, CT to:

In consideration of the benefits to be
derived, and in view of the fact that Boy Scouts of America is an educational
institution, membership in which is voluntary, and having full confidence that
every precaution will be taken to ensure the safety of my son on this activity,
I hereby agree to his participation and waive all claims against the leaders of
this trip and officers, agents and representatives of Boy Scouts of America.

In case of accident,
injury or illness while participating in Troop activities, I hereby give my
permission to the doctor selected by the adult leader in charge to secure
proper treatment, including hospitalization, anesthesia, surgery or injections
of medications. .